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Name

of Drug

Date
Ordered
01/22/14
Time
5:52pm
Generic
Name:
Cefuroxime
Sodium
01/25/14
Shift to
Oral
Cefuroxime

Classificat Dosage Indication /


ion
/
Contraindication
Route/
Freque
ncy

Side Effects/
Adverse
Effects

*Antibiotic
Cephalosphori
n (2nd gen)

CNS: headache,
dizziness,
Lethargy,paresthesia
s

Dose
Indication:
750mg
This medication is
Route
given to the patient
IV
for
patients with lower
Frequency
respiratory tract
q6
infections caused
6-12-6
by S. pneumonia, S
aureus, E
coli,Klebsiela
pneumonia, Hinfluenzae, Spyrogenes
Dose
500mg
Urinary Tract
Route PO
Infections
Frequency
Bone and joint
BID
infections
Contraindication:
Contraindicated
with
hypersensitivity to
cephalosporin or

Mode of
Action

Bactericidal:
Inhibits DNA
synthesis in
specific
(obligate)
GI: anorexia, nausea, anaerobes,
vomiting, diarrhea,
causing cell
abdominal
death.
pain,flatulence, GI
upset, cramps.
GU: Nephrotoxicity
Hematologic:
decreased WBC,
decreased platelet,
decreased Hct
Hypersensitivity: rash
to fever to
anaphylaxis
Local: pain, abscess

Nursing
Responsibili
ty

Instruct the
patient to
report if
these
happens:

Difficulty of
breathing

Severe
diarrhea

Unusual
tiredness

Inform the
patient that
side effects
can
happen
such as:
Stomach
upset

penicillin
Use cautiously with
renal failure

at injection site,
phlebitis

Diarrhea
In Oral

Instruct
patient to
take full
course of
therapy
Give drug
with food
to
decrease
GI upset
and
enhance
absorption
Instruct
patient to
swallow
tablets
whole do
not crush

Name of Drug Classificat Dosage/


Indication /
ion
Route/
Contraindication
Frequency
Date Ordered *AntiDose
Indication:
01/22/14
Spasmodic
1 amp
This medication
is given for the
Time
Route
relief of smooth
5:22pm
IV
muscle spasm
of the
Generic
Frequency
gastrointestinal
Name:
q8
Hyoscine-NContraindication:
Butyl- Bromide
Contraindicated
with
D/C
hypersensitivity
01/24/14
to HNBB
Porphyria
Myasthenia
Gravis
Closed angle
glaucoma or
narrow angle
glaucoma

Side Effects/ Adverse


Effects

Dryness of
mouth with
dysphagia
Thirst
Dilation of pupils
with loss of
accommodation
and photophobia
Increased intra
ocular pressure
Flushing and
dryness of the
skin
Bradycardia
Tachycardia
Urinary
incontinence
Vomiting
Retrosternal pain

Mode of
Action
A
competitive
antagonist
of the
actions of
acethylchol
ine and
other
muscarinic
agonist

Nursing Responsibility

Assess for the


adverse reactions
of the drug
Assess for the eye
pain
Assess for urinary
hesitancy
Assess for
constipation
Monitor for input
and output
Encourage patient
to void
Monitor Blood
pressure

Name of
Drug

Date
Ordered
01/28/14
Time
8:45 pm
Generic
Name:
Domperidon
e
Brand
Name:

Classificat Dosage/
ion
Route/
Frequen
cy
*Anti
Dose
emetics
10mg
Dopamine
antagonist
Route
PO
Freq
TID

Indication /
Contraindication

Indication:
This medication is
given to patient with
acute nausea and
vomiting
Dyspepsia
Gastric distention
GERD
Non-ulcer dyspepsia

Side Effects/
Adverse
Effects

Contraindication:
Hypersensitivity to
domperidone
Hepatic impairment
Serious resistant
GI Mycoses

Headac
he
Diarrhea
Restless
ness
Anxiety
Insomia
Nervous
ness
Dry
mouth
Itching
Sorenes
s

Mode of
Action

Dopaminergic
blocking
agents
gastrointestin
al emptying
peristaltic
stimulant.
Facilitates
gastric
emptying and
decreases
small bowel
transit time
by increasing
Esophageal
and gastric
peristalsis
and by
lowering
esophageal
sphincter
pressure

Nursing Responsibility

Instruct patient to take


this drugs by mouth
pre meals or usually
30 minutes before
meals
Instruct patient to
swallow tablets whole
do not crush

Check for
Hypotension

Assess for extrapyramidal effects such


as:

Jerking
Tongue protusion

Name of Drug Classificat Dosage/


Indication /
ion
Route/
Contraindication
Frequency
Date Ordered *Expectora
Dose
Indication:
02/7/14
nt
500mg
This medication
is given for
Time
Route
adjunctive
8:35 am
PO
therapy for
chronic disorder
Generic
Frequency
of the
Name:
TID
respiratory tract
Carbocisteine
associated with
excessive
D/C
mucus

Contraindication:
Contraindicated
with active
peptic ulcer

Side Effects/ Adverse


Effects

Headache
Dizziness
Diarrhea
Abdominal pain
Nausea and
Vomiting
Stomach upset
Sore throat

Mode of
Action
Reduces
the
viscosity of
bronchial
secretions
and
facilitate
prostaglan
din
synthesis
at the CNS
but does
not have
anti
inflammati
on action
because of
its minimal
effect on
peripheral
prostaglan
din
synthesis

Nursing Responsibility

Assess cough,
type, frequency,
character of
sputum
Provide adequate
hydration to
decrease viscosity
of secretions
Monitor for the
possible adverse
reactions

Name of Drug Classificat Dosage/


Indication /
ion
Route/
Contraindication
Frequency
Date Ordered *Anti
Dose
Indication:
02/2/14
Hypokalem
750mg
This medication
ia
is given to
Time
( Electrolyt
Route
patient with
2:00 pm
e)
PO
hypokalemia
Generic
Name:
Kalium Durule
D/C

Frequency
TID

Prophylaxis
during treatment
with galuretic
diuretics

Contraindication:
Contraindicated
to patient with
renal
insufficiency

Side Effects/ Adverse


Effects

Abdominal pain
Diarrhea
Nausea
Ulceration,
perforation in
small intestine
Rash

Mode of
Action
Essential for
maintenance of
intracellular
isotonicity,
transmission of
nerve
impulses,
contraction of
cardiac skeletal
muscle,
smooth
muscles
Maintenace of
normal kidney
function and for
enzyme activity
effect on
peripheral
prostaglandin
synthesis

Nursing
Responsibility

Closely
monitor
electrolytes
and blood
gases

Name of Drug Classificat Dosage/


Indication /
ion
Route/
Contraindication
Frequency
Date Ordered *Anti
Dose
Indication:
01/24/14
Anginal
20mg
This medication
is given to
Time
Route
prevent angina
8:30 pm
PO
pectoris
Generic
Name:
Isosorbide
Mononitrate
Brand Name:
Imdur
D/C

Frequency
Contraindication:
OD
Contraindicated
to patient with
who have
shown
hypersensitivity
or idiosyncratic
reactions to
other nitrates

Side Effects/ Adverse


Effects

Dizziness
Nausea with
syncope
Hypotension
Tachycardia
Headache
Fainting
Diarrhea
Myalgia
Rash
pruritus

Mode of
Action
Relaxation of
the vascular
smooth muscle
producing
vasodilation of
both arteries
and veins with
the latter
predominating.
Reduces the
end-diastoilc
pressure and
volume on the
coronary
arteries

Nursing
Responsibility

Check for
hypotension
Put patient on
bed rest
Provide
supervision
when
ambulating
Perform non
pharmacologic
measures for
nausea and
vomiting such
as letting
client drink
weak tea and
eat gelatin,
crackers